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Bcbs Florida & South Carolina Help!



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I am fairly new to the lapband journey. I have me with my surgeron and he agrees that I am a good canidate I just need to wait for approval from insurance. This is where things get fuzzy. I am covered under my husband's insurance, which is blue cross blue shield. We live in Georgia, but his company is based out of Jacksonville, Florida, so our insurance card states BCBS of Florida. When I was doing all of my preliminary reserach I did all of it based on BCBS Fl which has just dropped their 6 month wait. This would mean that since I meet all other requirements I would be ready to submit my claim to insurance, but when the financial dept. at my surgeon's office spoke to my insurance company they said that technically I am under BCBS or South Carolina (who of course still require 6 month diet)! Has anyone come into this problem before. I am confused about South Carolina coverage and any help would be appreciated. Also when I looked into South Carolina's coverage their policy on bariatric surgery was up for review in Oct 2012, does this mean they could make changes to the policy to drop the 6 month diet? This is what Florida did recently. They review their policy and on Sept 12 dropped the diet restriction.

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My insurance had many requirements one which was a 6 month dietitian requirement to ensure I knew how to eat the right foods. I went thru so much testing and have finalized everything. I'm scheduled for November 28th. I just got approved last week. It's a long journey and you need to be ready for a life change. Go through everything you need to. I found out during the process that I had severe sleep apnea. I had no idea. Just knew I felt horrible all the time. Good luck with the process.

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